How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $19.05 Median $42.66 Typical High $63.10 | Facility | None | $19.05 | $42.66 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $20.89 | Professional | None | $19.05 | $19.05 | $20.89 |
BCBS Minnesota Setting Facility Modifier None Typical Low $9.77 Median $22.91 Typical High $26.92 | Facility | None | $9.77 | $22.91 | $26.92 |
BCBS Minnesota Setting Professional Modifier None Typical Low $8.51 Median $9.77 Typical High $12.02 | Professional | None | $8.51 | $9.77 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $36.31 Typical High $50.12 | Facility | None | $17.78 | $36.31 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $20.42 Typical High $24.55 | Professional | None | $19.50 | $20.42 | $24.55 |
Health Partners Setting Facility Modifier None Typical Low $14.13 Median $34.67 Typical High $51.29 | Facility | None | $14.13 | $34.67 | $51.29 |
Health Partners Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Medica Setting Facility Modifier None Typical Low $10.72 Median $20.42 Typical High $69.18 | Facility | None | $10.72 | $20.42 | $69.18 |
Medica Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $19.50 | Professional | None | $10.72 | $10.72 | $19.50 |
United Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $22.91 | Professional | None | $12.02 | $12.02 | $22.91 |
8 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | 52 · Reduced service | $9.55 | $9.55 | $9.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $3.80 | Facility | 53 · Discontinued | $3.80 | $3.80 | $3.80 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2.82 Median $2.82 Typical High $2.82 | Facility | 55 · Aftercare only | $2.82 | $2.82 | $2.82 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.91 Median $1.91 Typical High $1.91 | Facility | 56 · Pre-op care only | $1.91 | $1.91 | $1.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.55 Median $9.55 Typical High $9.77 | Professional | 52 · Reduced service | $9.55 | $9.55 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $3.89 | Professional | 53 · Discontinued | $3.80 | $3.80 | $3.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $2.82 Typical High $2.95 | Professional | 55 · Aftercare only | $2.82 | $2.82 | $2.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.91 Median $1.91 Typical High $1.95 | Professional | 56 · Pre-op care only | $1.91 | $1.91 | $1.95 |
Where Minnesota sits
The same service costs 2.7 times more in Wyoming than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Minnesota· 8th of 51
$19.50
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.